Profile Picture Myra Shapiro

created Dec 11 2019

updated Feb 18 2020

Description

This dataset is a list of active Medicaid Fee-for-Service (FFS); Managed Care Only; and Ordering, Prescribing, Referring, Attending (OPRA) providers. Data elements include the provider’s Medicaid Provider ID, NPI, provider or facility name, Medicaid type, profession or service, provider specialty, service address, city, state, zip code, county, telephone number, latitude, longitude, enrollment begin date, next anticipated revalidation date and date the file was extracted from the data warehouse. For additional information, visit https://www.health.ny.gov/health_care/managed_care/.

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Meta
Category
Health
Permissions
Public
Tags
consumer resources, community health and chronic disease, strategic initiatives, mmis, npi, medicaid, managed care, mmc, provider enrollment, 21st century cures act, emedny, part 438, children’s health insurance, fee-for-service, ffs, opra
SODA2 Only
Yes
Dataset Summary
Office/Division
Office of Health Insurance Programs
Program Owner
Bureau of Provider Enrollment
Time Period
Beginning November 1, 1977
Posting Frequency
Weekly
Dataset Owner
Bureau of Provider Enrollment
Coverage
Nationwide
Granularity
City
Units
Medicaid Provider ID
Notes
Notes
While the New York State Department of Health makes every effort to post accurate and reliable information, it does not guarantee or warrant that the information on this website is complete or accurate as the information is self-reported.
Disclaimers
Disclaimer
Weekly snapshot of the Medicaid Enrolled Providers as of the FILE DATE (run date).
Limitations
In accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPPA), the data posted to the public viewing site does not contain the social security numbers or dates of birth of the providers within the dataset. Service locations for Category of Service (COS) 0164-Supportive Health Service, 0265-Case Mgmt. Service and 0464-Doula may not be reflected in the dataset. For the Central Directory of Early Intervention Service Providers and Resources please refer to: https://www.health.ny.gov/community/infants_children/early_intervention/service_providers/. For Doula provider directory please refer to https://www.health.ny.gov/health_care/medicaid/redesign/doulapilot/. Telephone numbers will only be included in the data when reported on the provider's enrollment. As of March 1, 2019, all provider enrollment applications must contain a valid telephone number for each service address location submitted on the enrollment application.
Dataset Information
Agency
Health, Department of
Local Data
County Filter
Yes
County_Column
County
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